Clinical Data Reviewer RN

About the RoleThe Clinical Data Reviewer will work under the supervision of the Quality Integrity Program Manager to improve data quality and risk stratify populations in value-based contracts. This role will review medical records to identify gaps in documentation and provide feedback to providers.Key ResponsibilitiesReview medical records to identify gaps...

About the RoleThe RN – Clinical Data Reviewer (HCC) plays a crucial role in improving data quality and risk stratifying populations in value-based contracts. This position involves reviewing medical records to identify gaps in documentation and ensuring compliance with ICD-10 coding and clinical documentation integrity policies.Key ResponsibilitiesReview...

Job SummaryAs a Clinical Utilization Review Specialist at Centene Corporation, you will play a critical role in ensuring the quality and appropriateness of mental health and substance abuse services for our members. This position requires a strong clinical background and expertise in reviewing treatment plans related to mental health and substance abuse.Key...

Job Summary:The Utilization Review (UR) Nurse plays a critical role in ensuring the efficient and effective management of patient care. As a Clinical Utilization Review Specialist, you will utilize your strong clinical background and knowledge of Utilization Management (UM) principles to develop and maintain processes for determining patient admission...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Providence St. Peter Hospital. As a key member of our Utilization Management program, you will play a critical role in ensuring that our patients receive the most appropriate care while also meeting regulatory and reimbursement requirements.Key ResponsibilitiesDevelop and...

Job Title: Research Nurse InterventionistKaiser Permanente is seeking a skilled Registered Nurse (RN) to join our team as a Research Nurse Interventionist in Olympia, Washington.About the Role:This is a part-time position, working 20 hours per week, with a duration of approximately 4-6 months during flu season. The successful candidate will be responsible...

Job Title: RN for Surgical Ortho Unit/Med SurgWe are seeking a skilled and experienced Registered Nurse (RN) to join our team in the Surgical Ortho Unit/Med Surg department. The ideal candidate will have a strong background in surgical post-operative care and experience working in a fast-paced environment.Responsibilities:Provide high-quality patient care in...

Kaiser Permanente is seeking a skilled Clinical Research Specialist to fill a nursing position in Olympia, Washington.Job Description & RequirementsSpecialty: Interventional RadiologyDiscipline: RNDuration: Ongoing20 hours per weekShift: 8 hours, daysEmployment Type: StaffPHLEBOTOMY EXPERIENCE A PLUSJob Summary:This position is ideal for a self-motivated...

Job Summary:We are seeking a highly skilled Research Nurse Interventionist to join our team at Kaiser Permanente. This is a unique opportunity to work on a CDC research study to evaluate the effectiveness of the flu vaccine.The ideal candidate will have a strong clinical background, excellent communication skills, and the ability to work independently and as...

Flu Vaccine Research StudyWe are seeking a skilled Research Nurse to join our team at Kaiser Permanente Washington clinics. The ideal candidate will have a strong background in clinical research and experience working with patients in a fast-paced environment.The Research Nurse will be responsible for reviewing EPIC schedules, screening and consenting...

Unlock the Power of Clinical DataCVS Health is seeking a highly skilled Sr. Data Scientist to join our Clinical Data Science team. As a key member of our team, you will be responsible for activating our clinical data repository to improve outcomes across multiple lines of business and use cases.Key Responsibilities:Develop, validate, implement, and support...

Job Title: Clinical Utilization SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Specialist. In this role, you will play a critical part in ensuring our members receive the best possible care.Job Summary:We are seeking a highly skilled Clinical Utilization Specialist to join our Medical Management/Health Services...

As a RN Pre-Admit Clinic Specialist at Providence, you will play a vital role in ensuring seamless transitions for patients from admission to discharge. Your expertise in pre-admission assessments, medical history reviews, and coordination with healthcare teams will make a significant impact on patient care.With a focus on whole-person care, you will work...

Job Title: Behavioral Health Clinical SupervisorJob Summary:The Behavioral Health Clinical Supervisor is a key member of our interdisciplinary team, responsible for overseeing assigned behavioral health professionals, providing behavioral health prevention and intervention services, ensuring compliance, and facilitating services.Primary...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key ResponsibilitiesReview services to ensure medical necessity and apply...

About the RoleWe are seeking a highly skilled Quality Assurance RN to join our team at Providence Medical Group Southwest Washington. As a key member of our clinical quality team, you will play a critical role in ensuring the highest standards of patient care and data quality.Key ResponsibilitiesReview medical records to identify gaps in documentation and...

Job SummaryA Clinical Nutrition Specialist is a cornerstone of support within a skilled nursing care facility, offering expertise and empathy in developing individualized nutrition plans for residents.Their deep understanding of dietary requirements guarantees that residents receive nourishment tailored to their specific health needs, promoting overall...

About the RoleWe are seeking a highly skilled Registered Dietitian to join our team at Thomas Cuisine. As a key member of our healthcare community, you will play a vital role in delivering wholesome, nutritious meals to our residents.Key ResponsibilitiesConduct comprehensive nutrition assessments for patients, analyzing data and developing individualized...

About the RoleWe are seeking a highly skilled Clinical Research Scientist 2 to join our team at Humana. As a key member of our Clinical Analytics Team, you will play a critical role in identifying opportunities to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries.Key ResponsibilitiesApply mathematical, statistical,...

Job Title: Registered DietitianJob SummaryThomas Cuisine is seeking a highly skilled Registered Dietitian to join our team in a skilled nursing care facility. As a key member of our healthcare community, you will play a vital role in developing individualized nutrition plans for residents, promoting overall wellness, and enhancing physical health.Key...